Individual
ROBERT E GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 454-8134
Mailing address
1705 BIG HORN BASIN DR, WILDWOOD, MO 63011-4821
(636) 458-9065
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102594
MO
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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